NPIMap

Individual provider Active NPI

Albert M Bleggi, M.D.

  • Diagnostic Radiology Physician
  • Boardman, OH
National Provider Identifier
1386712289
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35-050931 Issued in OH
Practice address
819 McKay CT
Boardman, OH 44512-5713
Phone
(330) 726-2071
Fax
(330) 726-9007
NPI assigned
Dec 1, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35-050931 OH Primary

Addresses

Primary practice location

819 McKay CT
Boardman, OH 44512-5713

Mailing address

816 McKay Court
Boardman, OH 44512
Phone (330) 726-2071

Other identifiers 1

IdentifierTypeStateIssuer
0625416MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081217000325 OH Practitioner - Diagnostic Radiology 7517951882 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-050931OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Mobile X-Ray, Inc CurrentSince Jan 5, 2018 Accepting new patients
Cavalier Mobile Xray Co CurrentSince Jan 13, 2012 Accepting new patients
RPJ Liberty Enterprises LLC CurrentSince Oct 27, 2023 Accepting new patients
Diagnostic X-Ray Service, Inc. Past Accepting new patients
Medical Imaging Diagnostics Diagnostic Radiology Past Accepting new patients
Physician's Mobile X-Ray, Inc. Past Accepting new patients
Medical Imaging Network LLC Diagnostic Radiology PastSince Dec 1, 1995 Accepting new patients
Aria Professional Group LLC Diagnostic Radiology Past Accepting new patients
Diagnostic X-Ray Service, Inc. Past Accepting new patients

Locations

4300 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-9666

4300 Belmont Ave
Ste 5
Youngstown, OH 44505
Phone (330) 729-3620

590 E Western Reserve Rd
Bldg 10D
Youngstown, OH 44514
Phone (330) 726-0202

945 E Park Dr
Ste 102
Harrisburg, PA 17111
Phone (800) 420-9729

Networks

  • Freedom Health HMO Network

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386712289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 MCKAY COURT",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "44512",
            "telephone_number": "330-726-2071",
            "fax_number": "330-726-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 MCKAY CT",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125713",
            "telephone_number": "330-726-2071",
            "fax_number": "330-726-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEGGI",
        "first_name": "ALBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-050931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0625416",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.